| NPI | 1760478317 |
|---|---|
| Former Name | WENDY JO LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 38979) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: KY 38979) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-10-29 |